Browsing by Author "Pokharel, Sushan"
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Publication Benign Breast Disease among Patients Visiting the Breast and Endocrine Clinic of a Tertiary Care Centre(Nepal Medical Association, 2024) Poudel, Sishir; Pokharel, Sushan; Khadka, SaradaAbstract Introduction: Breast diseases encompass a wide range of conditions, including benign and malignant disorders. Given the significant burden of breast-related health issues in the community, there is a critical need to understand the prevalence. This study aimed to find the prevalence of benign breast diseases among patients visiting the breast and endocrine clinic of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients presenting to the breast and endocrine clinic from 1 January 2022 to 1 January 2023 after obtaining ethical approval from the Institutional Review Committee. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 979 patients, the prevalence of benign disease was 937 (95.71%) (94.44-96.98, 95% Confidence Interval). Mastalgia was the most frequent diagnosis 416 (44.40%), followed by fibroadenoma 137 (14.62%), benign lumps 84 (8.96%), and mastitis 64 (6.83%) and the most common symptoms reported by benign cases were pain in the breast 692 (73.85%) and breast lump 483 (51.55%). Conclusions: The prevalence of benign breast diseases was found to be similar to other studies done in similar settings.Publication Perception of Tele-dermatology Consultation among Social Media Users(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2022) Poudel, Sishir; Pokharel, Sushan; Agrawal, Sudha; Marahatta, SuchanaAbstract Introduction: Tele-dermatology is significant for faster delivery of health care particularly in geographically isolated areas. Objectives: To know the perceptions of tele-dermatology consultation among social media users in terms of impact, their willingness to pay for the consultation and the barrier they may have during the consultation. Materials and Methods: An exploratory cross-sectional study was done on 360 social media users online regarding impact (time and cost), willingness to pay and the barriers of tele-dermatology consultation by using the questionnaire. Results: Participants believed the services to be time saving (91.7%) and cost effective (89.2%). Majority (70.3%) were willing to pay for services and 30.8% agreed NRs.400 fee and 37.2% agreed NRs.200 fee. Those willing to pay less than NRs 200 felt “services not being 100% reliable (59.3%), OPD price being cheaper (48.1%), saving doctor’s time too (38.3%), Wi-Fi and mobile data also cost (22.2%) and transportation fee could not be accounted to the doctor’s fee (13.6%)”. While participants not willing to pay any money responded as the services not being 100% reliable (60.7%) and preferred to visit OPD for consultation (47.7%) if paying the price. The barrier in using tele-dermatology were dissimilarity from face-to-face interaction, poor networking in rural area, unavailability of physical examination, low camera quality leading to misdiagnosis and not convenient for multiple lesions. Conclusion: The impact of tele-dermatology in terms of cost and time is appreciable. However, for better service implementation the barriers of the participants, needs to be evaluated